PMID: 6984700Dec 1, 1982Paper

Brainstem auditory evoked potentials in a case of 'Manto syndrome', or spasmodic torticollis with thoracic outlet syndrome

Italian Journal of Neurological Sciences
B DisertoriM Pavani

Abstract

A case of spasmodic torticollis with thoracic outlet syndrome observed for over 18 months is presented and discussed. Maximal head rotation (determining backward gaze) was associated with compression of the brachial plexus between the scaleni muscles and motor, sensory and trophic troubles in the hand. This new syndrome is called after the diviner Manto, quoted by Dante Alighieri in his 'Divina Commedia' (Inferno, XX, 52-56). The etiology was ascribed to subacute toxic effects of methylparathion. Brainstem Auditory Evoked Potentials (BAEPs) demonstrated severe brainstem involvement, maximal in the mesencephalic structures. Clinical and neurophysiological data improved on treatment with L-5-hydroxytryptophan. Finally, BAEPs returned to normal.

References

Feb 1, 1975·The British Journal of Ophthalmology·M H Al-Abrak, J R Samuel
May 1, 1981·Neurology·A E de JagerJ G de Monchy
Mar 1, 1965·Brain : a Journal of Neurology·J B CAVANAGH, G N PATANGIA

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Citations

Dec 25, 2003·Muscle & Nerve·Hacer Erdem TilkiAhmet Başoğlu

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